CE 1399 Rose Street 2010 ,p1
1
19� Compliance Investigation Form
Investigation# 2a10Date of Request: — ' v Time of Request:
Name of Person Making Request:
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Address: Phone#
Investigation Type: /
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Location (Address) of Violation: I9Dq l I L S-1"
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken:
Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009